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Updated: Dec 22, 2025

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Gastric perforation by a ventriculoperitoneal shunt in an adult
Yu-Hao Chen1, Cheng-Ta Hsieh, Jui-Ming Sun
1Section of Neurosurgery, Department of Surgery, Chia-Yi Christian Hospital, Chia-Yi City 600, Taiwan.
Abstract:
Ventriculoperitoneal (VP) shunt operation is a common neurosurgical procedure applied for managing intracranial hydrocephalus. Migration of a distal catheter is an uncommon complication, and related gastric perforation is rarely reported. Herein, we report the case of gastric perforation in a patient with VP shunt who presented with fever. The distal catheter within the stomach was confirmed by preoperative computed tomographic scan of abdomen and gastric endoscopy. Surgical intervention and appropriate antibiotics management enabled patient recovery. This case emphasizes the importance of early recognition and surgical intervention in this rare complication related to the shunt procedure.
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